Cluster Randomized Trial of a Digital Quality Improvement Intervention on LDLCholesterol Control
NCT05622929 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 1465
Last updated 2026-04-14
Summary
Elevation in low density lipoprotein (LDL) cholesterol (LDL-C) is a causal risk factor for atherosclerotic established cardiovascular disease (ASCVD). Reduction of LDL-C with statins has been clearly demonstrated as a robust and cost-effective way of reducing the burden of ASCVD in individuals at risk. ASCVD is the leading cause of death and disability in Brazil and therefore prevention guidelines recommend LDL-C reduction with the aim of reducing disease burden in individuals at risk. Studies have shown a clear hiatus on awareness and treatment of cholesterol in Brazil. Thus, it became imperative to develop knowledge translation projects aiming at bridging the gap between science and clinical practice and ultimately leading to better outcomes. Cluster randomized clinical trials are the highest quality type of clinical research to test educational and active interventions aimed at changing behaviors or clinical practices. Therefore, this study is a pragmatic cluster randomized trial to assess the effect of a digitally enabled quality improvement intervention on LDL-C control in atherosclerotic established cardiovascular disease (ASCVD) patients.
Conditions
- Cardiovascular Diseases
- Atherosclerosis
- Dyslipidemias
Interventions
- BEHAVIORAL
-
Digitally-enabled Multifaceted Quality Improvement Intervention
Digitally-enabled multifaceted strategy in addition to access to a RWE platform to provide clinical data. The digitally-enabled multifaceted strategy will include various tools that will provide support to the health professionals responsible for treating ASCVD patients in each center as well as patients, including: * Knowledge of effective lipid lowering therapies * Clinical decision support * Audit and feedback on adherence to optimal clinical management * Audit and feedback on LDL-C control
- BEHAVIORAL
-
Usual care
Health professionals responsible for treating ASCVD patients in each center will continue to provide usual care to ASCVD patients in addition to provide data through a RWE platform.
Sponsors & Collaborators
-
epHealth primary care solutions
collaborator UNKNOWN - collaborator INDUSTRY
-
Hospital Israelita Albert Einstein
lead OTHER
Principal Investigators
-
M. Julia Machline-Carrion, PhD · epHealth
Study Design
- Allocation
- RANDOMIZED
- Purpose
- HEALTH_SERVICES_RESEARCH
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2023-01-10
- Primary Completion
- 2025-08-15
- Completion
- 2025-12-17
Countries
- Brazil
Study Locations
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